Below is a list of the new services that we now offer. If you are interested in learning more about these services or the costs, please click CONTACT US for more details. We offer discounts on some of these services when bundled together.
BCBS – We will file with BCBS to obtain your BCBS Record ID, and then submit you for enrollment to the BCBS plans you “opted-in” to.
Medicare & Medicaid – We use PECOS to complete any group/individual applications to Medicare for enrollment. After Medicare approves your application and assigns PTAN(s), we will then use the TMHP website to complete your group/individual applications for Medicaid enrollment. Once Medicare and Medicaid approve the applications and we have the enrollment letters, we will submit you to the Medicare and Medicaid plans you “opted-in” to.
Tricare – We will complete the online enrollment to get you Tricare Certified. Once we receive notice that you are certified, we will submit you to Tricare Prime if you “opted-in” to this plan.
CAQH – New Set-Up for Provider including one-year Quarterly Maintenance. This would be for any provider just graduating from school who does not have a CAQH set up and completed.
CAQH – Quarterly Maintenance on an Annual Basis. CAQH requires that your profile is updated every 3 months. This annual service is based on when we start maintenance of your CAQH.
NPI # – We do this at “no-charge” for providers who are in the application process or if they need help with this after becoming a member of TIOPA. If you need help setting up the NPI for your new group, or maintenance on your individual NPI we can help get this completed for you.
Expedited Credentialing – Will process a provider’s application, approve via expedited policy and submit to plans. (To be put on Board Grid the following Board Meeting) There is a 10-day window of opportunity for this. Expedited credentialing is available beginning the Thursday before the board to the Friday after board.
Expedited Recredentialing – Late fee applies if Reappointment Applications are not received on the Wednesday before the board deadline.